Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Miller conducted a case management visit to cite a deficiency identified during a separate Required 1-Year Annual Visit. LPA was greeted at the front door by Client 1, after identifying herself. C1 told LPA that their caregiver was sleeping and was granted entry to show what room caregiver sleeps in. LPA noticed C1 go into an empty room to make a call and inform that LPA was at the facility. C1 returned to LPA to tell her that the caregiver was not at home and that they were very close by.

Mercedes Rubia, Licensee, arrived 20 minutes after LPA arrived and LPA identified herself and disclosed the purpose of the visit. Licensee stated that a Job Coach named Monica (last name unknown) was told to stay at the facility while Licensee ran an errand for another client. Another staff member, Betty Naguit, is employed by Licensee but had the day off today. Licensee stated that a client will be leaving the facility next Monday because she is planning on closing the facility.

Current clients are ambulatory, do not need assistance with their ADLs, and do not have dementia.

A deficiency was cited Per Title 22, Division 6, Chapter 1 of the California Code of Regulations (see LIC809-D). An immediate civil penalty in the amount of $500 is being assessed today. An exit interview was conducted with Licensee to whom a copy of this report, the LIC421IM, and the Licensee/Appeal Rights (LIC9058) were provided.